Revista medica del Instituto Mexicano del Seguro Social最新文献_第10页

[Infarction and splenic abscess as the cause of acute abdomen in a patient with myelomonocytic leukemia]. [骨髓单核细胞白血病患者急腹症的病因是梗死和脾脓肿]。

Revista medica del Instituto Mexicano del Seguro Social Pub Date : 2024-05-06 DOI: 10.5281/zenodo.10999019

José Luis Beristain-Hernández, Arni Alejandro Mendoza-Soto, Jessica Jaime-Silva, Lino Enrique Ramírez-Sosa

{"title":"[Infarction and splenic abscess as the cause of acute abdomen in a patient with myelomonocytic leukemia].","authors":"José Luis Beristain-Hernández, Arni Alejandro Mendoza-Soto, Jessica Jaime-Silva, Lino Enrique Ramírez-Sosa","doi":"10.5281/zenodo.10999019","DOIUrl":"https://doi.org/10.5281/zenodo.10999019","url":null,"abstract":"Background: Splenic infarction is a rare cause of acute abdomen. The two main causes are thromboembolic diseases and infiltrative hematological disorders. The splenic abscess is the result of a hematogenous seeding, whose causes are trauma, splenic artery embolization, endocarditis, and immunocompromised states.Clinical case: 48-year-old male patient with a history of chronic myelomonocytic leukemia on mercaptopurine-based treatment, who presented intermittent asthenia, adynamia, and abdominal distension for 2 months; a computed tomography of the abdomen with intravenous contrast was performed, reporting areas of infarction and an image suggestive of a splenic abscess in the upper pole, for which an open splenectomy was performed with adequate clinical evolution. A documentary review of the disease and of the therapeutic options was carried out, with an emphasis on surgical management.Conclusion: The main cause of morbidity and mortality in the case presented was splenic infarction, which is aggravated by the presence of hematological diseases; therefore, the identification of those patients at risk of complications will allow in a timely manner a diagnostic and therapeutic approach, and the detection of those who require urgent surgical management.","PeriodicalId":94200,"journal":{"name":"Revista medica del Instituto Mexicano del Seguro Social","volume":"62 3","pages":"1-5"},"PeriodicalIF":0.0,"publicationDate":"2024-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142635238","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Angiographic result with the use of adenosine before percutaneous coronary intervention in pharmacoinvasive therapy]. [药物介入疗法中经皮冠状动脉介入治疗前使用腺苷的血管造影结果]。

Revista medica del Instituto Mexicano del Seguro Social Pub Date : 2024-05-06 DOI: 10.5281/zenodo.10998706

Lizbeth Iñiguez-Loza, Freeman Isaac Nucamendi-Solórzano, Marco Alejandro Solórzano-Vázquez, Agustín Ramiro Urzúa-González, Martha Alicia Hernández-González, Oscar Samuel V

{"title":"[Angiographic result with the use of adenosine before percutaneous coronary intervention in pharmacoinvasive therapy].","authors":"Lizbeth Iñiguez-Loza, Freeman Isaac Nucamendi-Solórzano, Marco Alejandro Solórzano-Vázquez, Agustín Ramiro Urzúa-González, Martha Alicia Hernández-González, Oscar Samuel V","doi":"10.5281/zenodo.10998706","DOIUrl":"https://doi.org/10.5281/zenodo.10998706","url":null,"abstract":"Background: Mexico is the country with the highest mortality from acute myocardial infarction (AMI), which is why guidelines have been established for early reperfusion in which fibrinolysis is the second most accessible method. However, there is a percentage of patients who do not achieve acceptable myocardial perfusion and this is associated with adverse cardiovascular outcomes. Different adenosine schemes have been used as an adjuvant to restore adequate myocardial perfusion.Objective: To compare the final angiographic flow in patients undergoing pharmacoinvasive percutaneous coronary intervention (PCI) with the use of intracoronary adenosine versus patients without its use.Material and methods: Single-center, prospective, longitudinal, single-blind study carried out in patients with AMI, thrombolyzed, with reperfusion data, sent to a tertiary care center from March 2022 to June 2023, randomized to receive intracoronary adenosine previous to intervention. Drug-eluting stents were placed in all patients. Initial and final angiographic flow was compared.Results: 33 patients were included, randomized 1:1 to control and intervention groups. 75.8% of the participants were male. The most frequent artery responsible for the infarction was the anterior descending (63.6%). An average of 350 mcg of intracoronary adenosine was used in the intervention group, and the most frequent complication in both groups was the presence of no-reflow phenomenon.Conclusions: Due to the small sample size, it is not possible to conclude the usefulness of adenosine for improving final angiographic flow in pharmacoinvasive PCI. More adverse effects were reported in the intervention group, without a significant statistical difference.","PeriodicalId":94200,"journal":{"name":"Revista medica del Instituto Mexicano del Seguro Social","volume":"62 3","pages":"1-7"},"PeriodicalIF":0.0,"publicationDate":"2024-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142634962","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Rare diseases in a medical genetics service of population with social security]. [社会保障人口医学遗传学服务中的罕见病]。

Revista medica del Instituto Mexicano del Seguro Social Pub Date : 2024-05-06 DOI: 10.5281/zenodo.10998859

Berenice Jiménez-Pérez, Daniela Juárez-Melchor, Ania Alejandra Guzmán-Santiago, Azucena Sánchez-Ortega, Aurea Vera-Loaiza, Cuauhtémoc Flores-Martínez, Israel Aguilar-Cózatl

{"title":"[Rare diseases in a medical genetics service of population with social security].","authors":"Berenice Jiménez-Pérez, Daniela Juárez-Melchor, Ania Alejandra Guzmán-Santiago, Azucena Sánchez-Ortega, Aurea Vera-Loaiza, Cuauhtémoc Flores-Martínez, Israel Aguilar-Cózatl","doi":"10.5281/zenodo.10998859","DOIUrl":"https://doi.org/10.5281/zenodo.10998859","url":null,"abstract":"Background: Rare diseases (RD) are those that have a low prevalence in the population; ≈80% have a genetic origin, and to diagnose them it takes from 5 to 10 years, and they require evaluations from ≈10 specialists. There is no international consensus on the definition and number of RDs, which affects the availability of resources for their diagnosis, treatment, and research.Objective: To determine the prevalence of RDs in the Medical Genetics Service of a regional general hospital belonging to the Mexican Institute for Social Security (IMSS), in Puebla, Mexico.Material and methods: The patients' records who were evaluated by the above-mentioned service from January 2019 to June 2022 were reviewed. Those patients with a diagnosis of a RD were identified, and the prevalence was obtained by using the formula: total number of cases of the disease/number of people in the population at that moment in time.Results: A total of 798 medical records were reviewed and a prevalence of RDs of 27% was obtained. Those diseases with a prevalence of 1 case per 2000 inhabitants were considered, being 118 different RD. Considering only the 20 rare diseases registered in Mexico in 2022, 11 of these were detected, distributed in 35 patients, with an estimated prevalence of 4.3%.Conclusion: The prevalence of RDs differs according to the criteria implemented. In Mexico, several diseases that fall within the definition of a RD based on their prevalence were not considered as such until 2022, so the recent recognition of rare diseases included by the World Health Organization will benefit affected patients.","PeriodicalId":94200,"journal":{"name":"Revista medica del Instituto Mexicano del Seguro Social","volume":"62 3","pages":"1-8"},"PeriodicalIF":0.0,"publicationDate":"2024-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142635257","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Revista medica del Instituto Mexicano del Seguro Social Pub Date : 2024-05-06 DOI: 10.5281/zenodo.10998791

Xóchitl Refugio Romero-Guerrero, Hayanin Cortés-García, Faustino Alcántar-Chávez, Maximino Miranda-García, Víctor Almazán-Farfán, Olga Yazmín Victoria-Carrasco

{"title":"[Prevalence related to mental and behavioral disorders in population affiliated to IMSS, 2021].","authors":"Xóchitl Refugio Romero-Guerrero, Hayanin Cortés-García, Faustino Alcántar-Chávez, Maximino Miranda-García, Víctor Almazán-Farfán, Olga Yazmín Victoria-Carrasco","doi":"10.5281/zenodo.10998791","DOIUrl":"10.5281/zenodo.10998791","url":null,"abstract":"Background: Although the World Health Organization established in ther well known and foundational affirmation that health is a state of absolute physical, mental and social well-being and not only the absence of disease or infirmity, mental health is considered more than the absence of mental disease or mental infirmity. Prevalence of mental and behavioral disorders (MBD) in Mexico oscilates between 15 and 18%. The occurrence of these diseases is the support for making decisions aimed at improving the medical care and well-being of the psychiatric patient.Objective: To estimate the prevalence of MBD in population affiliated to the Mexican Institute for Social Security (IMSS) in 2021.Material and methods: Cross-sectional and observational study. We examined the Census of Mental and Behavioral Disorders in Population affiliated to IMSS in 2021. All the cases of the census were included: 2,652,531.Results: The prevalence of MBD was 9.3%. The higher prevalence was reported for anxiety and obsessive compulsive disorder (39.8%). The highest prevalence was reported in the Michoacán Administrative Operation Office (AOO) (67.7%, 95% CI 67.5-68.0), then the Aguascalientes and Guerrero AOOs (64.6%, 95% CI 64.2-64.9 and 60.1%, 95% CI 59.7-60.5, respectively).Conclusions: The prevalence of MBD in the population affiliated to IMSS is 9.3%. Estimating that prevalence may help healthcare professionals to provide a better follow-up and traceability in the care for these patients.","PeriodicalId":94200,"journal":{"name":"Revista medica del Instituto Mexicano del Seguro Social","volume":"62 3","pages":"1-8"},"PeriodicalIF":0.0,"publicationDate":"2024-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142635253","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Broken spinal needle: Clinical case and a brief review of the literature]. [脊柱针断裂：临床病例和文献简评]。

Revista medica del Instituto Mexicano del Seguro Social Pub Date : 2024-05-06 DOI: 10.5281/zenodo.10999015

José Francisco Camacho-Aguilera, Luis Martínez-Copado, Carmen Dalia Jiménez-Ramos

{"title":"[Broken spinal needle: Clinical case and a brief review of the literature].","authors":"José Francisco Camacho-Aguilera, Luis Martínez-Copado, Carmen Dalia Jiménez-Ramos","doi":"10.5281/zenodo.10999015","DOIUrl":"https://doi.org/10.5281/zenodo.10999015","url":null,"abstract":"Background: Spinal anesthesia can present various complications, one of which is the breakage of a spinal needle within the intrathecal space, which is one of the least frequent complications and it may be serious. A case of spinal needle breakage is presented, pointing out its risk factors and recommendations to reduce it.Clinical case: 5-year-old female patient, who was scheduled for removal of translocated intrauterine device causing chronic pain. When attempting a spinal anesthesia, stylet was removed from the needle and directed into the subarachnoid space. Upon extraction, the spinal needle was deformed and shortened. Immediately and with fluoroscopy and local anesthesia, the broken fragment was extracted without complications. Regional anesthesia is widely used in pregnant women, as it is considered safe. However, there are factors that increase the probability of a spinal needle breakage (obesity, pregnancy, emergency procedures, incorrect handling of the spinal needle, etc.). Even so, there are various recommendations (use of ultrasound, proper handling of the needle, reducing the number of attempts, etc.) that can reduce the risk of spinal needle breakage.Conclusion: Risk factors for spinal needle breakage should be identified, in order to decrease its incidence.","PeriodicalId":94200,"journal":{"name":"Revista medica del Instituto Mexicano del Seguro Social","volume":"62 3","pages":"1-6"},"PeriodicalIF":0.0,"publicationDate":"2024-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142634971","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Dyslipidemia in high cardiovascular risk patients. Initial results from the REMEXDIS-IMSS study]. [心血管疾病高危患者的血脂异常。REMEXDIS-IMSS研究的初步结果]。

Revista medica del Instituto Mexicano del Seguro Social Pub Date : 2024-05-06 DOI: 10.5281/zenodo.10998739

Maricruz Guadalupe Machuca-Loeza, Juan Pablo Fernández-Hernández, Maraí Xóchitl Gutiérrez-Galván, Gabriela Borrayo-Sánchez, Iván Cruz-Aceves, Sergio Eduardo Solorio-Meza, Martha Alicia Hernández-González

{"title":"[Dyslipidemia in high cardiovascular risk patients. Initial results from the REMEXDIS-IMSS study].","authors":"Maricruz Guadalupe Machuca-Loeza, Juan Pablo Fernández-Hernández, Maraí Xóchitl Gutiérrez-Galván, Gabriela Borrayo-Sánchez, Iván Cruz-Aceves, Sergio Eduardo Solorio-Meza, Martha Alicia Hernández-González","doi":"10.5281/zenodo.10998739","DOIUrl":"https://doi.org/10.5281/zenodo.10998739","url":null,"abstract":"Background: There is no national registry on dyslipidemia and low-density lipoprotein cholesterol (LDL-c) goals by risk groups for atherosclerotic cardiovascular disease (ACVD) focused on beneficiaries of the Mexican Institute for Social Security (IMSS).Objective: To determine the frequency of dyslipidemia, LDL-c goals and patients in treatment from high and very high-risk groups of ACVD.Material and methods: Multicenter, cross-sectional, descriptive study. This article derives from the Mexican Registry of Dyslipidemias in patients at high-risk and very high-risk of atherosclerotic cardiovascular disease (REMEXDIS-IMSS Project). Patients with high-risk and very high-risk criteria for ACVD were included.Results: From July 2022 to March 2023, 6000 patients were included (3289 patients in the high-risk group and 2771 in the very high-risk group). The frequency of dyslipidemia was observed in 49% of the cohort. The very high-risk group presented a higher percentage of dyslipidemia in 66.8%, acute myocardial infarction in 81.0% and angina pectoris in 21.9%. The use of statins was higher in this group (93.3%) and the LDL-c goal was achieved in 72.9% (p < 0.0001).Conclusions: The frequency of dyslipidemia is found in almost half of the population. The very high-risk group had a higher frequency of dyslipidemia, better use of statins for indication of secondary prevention, and a greater number of patients with LDL-c goals compared to the high-risk group.","PeriodicalId":94200,"journal":{"name":"Revista medica del Instituto Mexicano del Seguro Social","volume":"62 3","pages":"1-7"},"PeriodicalIF":0.0,"publicationDate":"2024-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142635156","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Miller-Fisher/Guillain-Barré overlap syndrome following COVID-19 vaccination]. [接种 COVID-19 疫苗后的米勒-费舍/吉兰-巴雷重叠综合征]。

Revista medica del Instituto Mexicano del Seguro Social Pub Date : 2024-05-06 DOI: 10.5281/zenodo.10998949

Gil Arturo Atzin-Vela, Celeste Araceli Monroy-Parra, Carlos Humberto González-Rodríguez

{"title":"[Miller-Fisher/Guillain-Barré overlap syndrome following COVID-19 vaccination].","authors":"Gil Arturo Atzin-Vela, Celeste Araceli Monroy-Parra, Carlos Humberto González-Rodríguez","doi":"10.5281/zenodo.10998949","DOIUrl":"10.5281/zenodo.10998949","url":null,"abstract":"Background: Anti-GQ1B syndrome includes a group of diseases characterized by antibody-mediated polyneuropathy. Guillain Barre syndrome (GBS) and the Miller-Fisher syndrome (MFS) have been related to COVID-19 vaccine application.Clinic case: 48-year-old man, with history of Pfizer-BioNTech vaccination against COVID-19, 5 days prior to the symptoms, who assisted to the Emergency room with blurred vision and diplopia; adding dysarthria, facial diplegia and left upper limb weakness after 48 hours. In his first evaluation it was found ophthalmoplegia, facial diplegia, decreased gag reflex, weakness of thoracic limbs, bilateral trapezius muscle and areflexia. Serum studies and nuclear magnetic resonance of the brain were performed without alterations. It was complemented with IgG anti-ganglioside GQ1b antibodies with a positive result. Once the diagnosis was confirmed, treatment was started with immunoglobulin calculated at 2 g per kg for 5 days. The patient was discharged once the immunoglobulin was administered with evaluation at 2 months without ataxia, ophthalmoplegia, areflexia and weakness.Conclusions: Following the documented reports of GBS and its variants secondary to vaccination, neurological side effects have been catalogued as being of great importance. Therefore, the reported case can be used as a point of reference to consider this clinical spectrum as a differential diagnosis in patients with post-vaccination neurological symptomatology.","PeriodicalId":94200,"journal":{"name":"Revista medica del Instituto Mexicano del Seguro Social","volume":"62 3","pages":"1-7"},"PeriodicalIF":0.0,"publicationDate":"2024-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142635242","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Hypopigmented mycosis fungoide. Case report]. [色素沉着真菌病：病例报告]。

Revista medica del Instituto Mexicano del Seguro Social Pub Date : 2024-05-06 DOI: 10.5281/zenodo.10998993

Antonio Tirado-Motel, Juan Daniel Osorio-Barboza, Jesús Sebastián Rodríguez-Gutiérrez

{"title":"[Hypopigmented mycosis fungoide. Case report].","authors":"Antonio Tirado-Motel, Juan Daniel Osorio-Barboza, Jesús Sebastián Rodríguez-Gutiérrez","doi":"10.5281/zenodo.10998993","DOIUrl":"https://doi.org/10.5281/zenodo.10998993","url":null,"abstract":"Background: Hypopigmented mycosis fungoide (HMF) is a rare variant of cutaneous T-cell lymphoma of unknown pathogenesis. It is the most common cutaneous lymphoma in childhood. It is characterized by hypopigmented macules in non-photoexposed areas, generally asymptomatic. The diagnosis is confirmed with histopathological study and immunohistochemistry. Treatment will depend on the clinical stage, with topical therapies being the first-line treatment.Clinic case: 69-year-old female, with no significant personal pathological history. She was treated for dermatosis of 7 years of evolution, spread to the 4 segments with affected body surface of 35% that respected palms and soles, characterized by polymorphic hypochromic macules of 1 to 10 cm in diameter that converge to form larger lesions, and some post-inflammatory hyperchromic macules, accompanied by itching. The histopathological study reported data compatible with mycosis fungoides and immunohistochemistry with positivity for CD3, CD4, CD5 and CD8. It was diagnosed stage IB HMF. It was administered treatment based on prednisone and phototherapy with a good response.Conclusions: This case makes possible an outlook of the demographic data of HMF, and it allows this entity to be taken into consideration for possible differential diagnoses that are not contemplated due to the limited dissemination of knowledge about this disease. It is important to emphasize the knowledge of HMF since early diagnosis and timely treatment will improve the prognosis in our patients and prevent them from being treated incorrectly.","PeriodicalId":94200,"journal":{"name":"Revista medica del Instituto Mexicano del Seguro Social","volume":"62 3","pages":"1-5"},"PeriodicalIF":0.0,"publicationDate":"2024-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142635148","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Health literacy and its association with the control of hypertension]. [健康素养及其与高血压控制的关系]。

Revista medica del Instituto Mexicano del Seguro Social Pub Date : 2024-05-06 DOI: 10.5281/zenodo.10998845

Eva María García-Vera, Svetlana V Doubova, Rosalinda Sánchez-Arenas, Adriana Monroy

{"title":"[Health literacy and its association with the control of hypertension].","authors":"Eva María García-Vera, Svetlana V Doubova, Rosalinda Sánchez-Arenas, Adriana Monroy","doi":"10.5281/zenodo.10998845","DOIUrl":"https://doi.org/10.5281/zenodo.10998845","url":null,"abstract":"Background: Health literacy (HL) involves self-care skills of healthy people and those with chronic diseases.Objective: To assess the association between HL and blood pressure (BP) control in patients with hypertension.Material and methods: A cross-sectional survey was conducted from April to June 2022 in a family medicine unit from the Mexican Institute for Social Security (IMSS). This survey included 349 adults of 18 years of age or older with hypertension diagnosis and antihypertensive pharmacological treatment. HL was measured with the European Health Literacy Survey HLS-EU-Q12M, validated in Mexico. The characteristics of participants with and without BP control were compared with chi-square. Multiple Poisson regression was applied to assess the association between HL and BP control, and it was controlled based on the clinically important covariates.Results: 60.2% of patients with hypertension had BP controlled; 23.8% had inadequate HL, 44.4% problematic HL, and 31.8% sufficient HL. Sufficient HL was associated with BP control only in patients with high school or higher education (adjusted prevalence ratio 2.18, 95% confidence interval 1.16-4.08).Conclusions: Only 60% of hypertensive patients achieve control of their BP. Sufficient HL is associated with greater likelihood of BP control in patients with high school or higher education.","PeriodicalId":94200,"journal":{"name":"Revista medica del Instituto Mexicano del Seguro Social","volume":"62 3","pages":"1-9"},"PeriodicalIF":0.0,"publicationDate":"2024-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142635105","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Hemodialysis nutritional status and Malnutrition Inflammation Score]. [血液透析营养状况和营养不良炎症评分]。

Revista medica del Instituto Mexicano del Seguro Social Pub Date : 2024-05-06 DOI: 10.5281/zenodo.10998813

Carlos Iván Cerda-Méndez, Omar Alfredo Jiménez-García, José Oscar Juárez-Sánchez, Martha Alicia Hernández-González, Javier Medrano-Sánchez, Erica García-Valadez

{"title":"[Hemodialysis nutritional status and Malnutrition Inflammation Score].","authors":"Carlos Iván Cerda-Méndez, Omar Alfredo Jiménez-García, José Oscar Juárez-Sánchez, Martha Alicia Hernández-González, Javier Medrano-Sánchez, Erica García-Valadez","doi":"10.5281/zenodo.10998813","DOIUrl":"10.5281/zenodo.10998813","url":null,"abstract":"Background: Patients with chronic kidney disease (CKD) have risk of multiple nutritional and metabolic alterations, including loss of protein and energy, obesity, nutritional deficiency, and complications derived from uremia that manifest with changes in taste and lack of appetite. However, the nutritional status of patients on hemodialysis (HD) is unknown.Objective: To determine the nutritional status of patients with CKD with renal replacement therapy receiving HD in a tertiary care center.Material and methods: Observational, ambispective, longitudinal study. The population included patients receiving HD in a third-level hospital. The Malnutrition and Inflammation Score (MIS) was administered to patients who agreed to participate. Together with the identification card, data on name, age, sex, body mass index (BMI), leukocytes, albumin, transferrin level, and HD time were collected.Results: 52 patients were included. Mean age was of 46.51 years (15.54); 34 patients (65.4%) were male and 18 female (34.6%); 1 (1.9%) presented normal MIS, 32 (61.5%) mild MIS, 18 (34.6%) moderate MIS, and 1 (1.9%) severe MIS.Conclusions: Nutritional status is poor in patients with CKD receiving HD, which is why it must include a monitoring protocol that translates into a benefit in the face of patient morbidity and mortality.","PeriodicalId":94200,"journal":{"name":"Revista medica del Instituto Mexicano del Seguro Social","volume":"62 3","pages":"1-6"},"PeriodicalIF":0.0,"publicationDate":"2024-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142635127","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0